Lesson 1Physiologic changes after vaginal birth: normal ranges and timelineThis part explains normal body changes after vaginal delivery in the first 24 hours, covering heart, breathing, body heat, urine, and muscle adjustments, with usual ranges and times to tell normal healing from sickness in Gambian mothers.
Heart changes and blood shiftsBreathing and body heat changesFluid balance and urine patternsMuscle and movement changesExpected healing time in first 24 hoursLesson 2Postpartum urinary and bowel function: retention, bladder care, and constipation preventionThis part looks at urine and bowel changes after birth, focusing on checking for holding, safe bladder care, stopping constipation, and nurse actions to guard pelvic muscles, cut infection risks, and prevent blood clots in Gambian women.
Risks for urine holdingChecking bladder swellingTimed passing urine and tube careChecking and stopping constipationTeaching patients on passing waste patternsLesson 3Perineal assessment and wound care: episiotomy/tear inspection, signs of infectionThis part covers checking the perineal area after vaginal birth, including looking at cuts or tears, swelling, bruises, blood lumps, and infection signs, plus proven wound care, comfort ways, and teaching on cleanliness and healing for Gambian mothers.
Looking at cut and perineal tearsChecking swelling, bruises, and blood lumpsSigns of perineal wound infectionPerineal cleaning and cream treatmentsComfort ways and body positionsLesson 4Uterine assessment: fundal height, uterine tone, involution, and palpation techniqueThis part teaches step-by-step womb checks, including top height, firmness, place, and shrinking, with feeling methods, spotting odd findings, and nurse steps to stop heavy bleeding and weak womb in postpartum Gambian care.
Normal top height by postpartum timeChecking womb firmnessFeeling steps and hand placesSpotting weak womb and soft feelSteps for poor womb firmnessLesson 5Documentation standards and escalation triggers for urgent maternal deteriorationThis part sets record-keeping rules for early postpartum care, including planned notes, early warning marks, and clear alert signs, ensuring quick talks, fast help calls, and following law and safety in Gambian hospitals.
Key parts of postpartum notesUsing mother early warning marksDanger signs needing alertsSBAR talks with doctorsFast help and emergency callsLesson 6Vital signs monitoring: BP, pulse, respiratory rate, temperature, and shock recognitionThis part stresses planned vital checks in first 24 hours, including how often, methods, reading blood pressure, heartbeat, breaths, heat, and early spotting of shock, blood poisoning, and high blood pressure emergencies in Gambian mothers.
Suggested vital check timesRight BP, pulse, breath methodsHeat trends and infection hintsEarly shock signsHigh blood crisis and pre-eclampsia signsLesson 7Postpartum anemia: identification, implications for recovery, and monitoring hemoglobin trendsThis part covers postpartum low blood, risks, signs, blood trends, effects on healing, and nurse ways for watching, adding iron, blood giving, and teaching on reporting symptoms in Gambian postpartum care.
Risks for postpartum low bloodSigns and symptom checksReading blood and cell countsOral and vein iron thoughtsBlood giving limits and nurse careLesson 8Pain assessment and multimodal management: pharmacologic and nonpharmacologic optionsThis part covers full postpartum pain checks and mixed handling, mixing drug choices with non-drug ways, personal care plans, safety for breastfeeding, and checking treatment work in Gambian nursing.
Using proven postpartum pain scalesPain drug choices and timesOpioid safety for breastfeedingNon-drug comfort waysRe-checking and noting painLesson 9Lochia assessment: quantity, color, odor, and abnormal bleeding patternsThis part details step-by-step womb flow checks, expected amount, color, smell, pad looks, spotting odd bleeding, and nurse replies to guessed heavy loss or infection in early postpartum in Gambia.
Normal red flow featuresMeasuring flow amount and wetnessChecking smell and infection signsSpotting lumps and heavy bleedingQuick steps for guessed heavy loss
